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SEMCA PHARMACY INC
DSH050077 SCRIPPS MERCY HOSPITAL
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Covered Entity Details
Entity Name
SCRIPPS MERCY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050077
Entity Address
4077 FIFTH AVENUE
SAN DIEGO, CA 92103
Medicare Provider Number
050077
Participating Start Date
1/1/2005
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
SEMCA PHARMACY INC
Pharmacy Address
SOUTHEAST MEDICAL CENTER
286 NORTH EUCLID AVE
SUITE 206
SAN DIEGO, CA 92114
Pharmacy Comments
Contract Details
Approval Date
10/10/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/29/2017
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Tom Gammiere, CEO
(619) 260-7101
Contract Pharmacy Representative
Kya Robottom, CEO
(619) 263-6635
Signed By Date
10/10/2013
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